小肠克罗恩病的特征分析

Analysis of characteristics of the small intestinal Crohn's disease

目的通过对小肠克罗恩病患者的临床特点分析，加深对小肠克罗恩病的认识，提高早期诊断水平，减少误诊率。方法对1992年1月～2006年12月期间在我院住院病历中符合克罗恩病的116例患者的临床特点进行回顾性分析。结果小肠克罗恩病24例（20．69％），青壮年好发，首次确诊时间比其他类型克罗恩病患者更长。其临床主要表现为腹痛20例（83．33％），便秘8例（33．3％），腹泻6例（25％），便血6例（25％），消瘦14例（58．3％），贫血8例（33．3％），发热7例（29．2％），手术18例（75％）。结论小肠克罗恩病临床表现多样化，诊断困难。小肠钡灌检查可作为小肠克罗恩病的有效筛查手段。

Objective To improve the early diagnosis and reduce the rate of misdiagnosis of the small intestinal Crohn＇ s disease by analyzing clinical characteristics of the small intestinal Crohn＇ s disease. Methods One hundred and sixteen cases of Crohn＇ s disease admitted in Suzhou municipal hospital from Jan 1992 to Dec 2006 were analyzed retrospectively. Results Among the 116 cases of Crohn＇ s disease, 24 cases were the small intestinal Crohn＇ s disease （20.69%）. Most patients with small intestinal Crohn＇ s disease were young adults. The time of accurate diagnosis for small intestinal Crohn＇ s disease was long. The main symptoms in this small intestinal Crohn＇ s disease group were ： abdominal pain （83.33%）, constipation （33.3%）, diarrhea （25%）, blood in stool （25%）, emaciation （58.3%）, anemia （33.3%） and fever （29.2%）. Eighteen cases underwent operation （75%）. Conclusion Diversity of clinical manifestation of small intestinal Crohn＇ s disease could cause misdiagnosis. Small bowel enteroclysis is an effective screening test.